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神经囊尾蚴病:解开影像学谜团

Neurocysticercosis: unwinding the radiological conundrum.

作者信息

Goddu Govindappa Sharath Kumar, Patil Megharanjini, Adiga Chaitra Parameshwara, Kumar Sujit, Goolahally Lakshmikanth N, Kumar Savith, Mathew Thomas

机构信息

Apollo Hospitals, Sheshadripuram, Bangalore, India.

Karnataka Institute of Medical Sciences, Hubli, India.

出版信息

Pol J Radiol. 2024 Nov 28;89:e549-e560. doi: 10.5114/pjr/193968. eCollection 2024.

Abstract

PURPOSE

To study the distinct imaging characteristics of parenchymal neurocysticercosis (NCC) that aid in distinguishing it from other diseases.

MATERIAL AND METHODS

Two hundred fifty patients with NCC were selected based on identification of the scolex. T2 weighted, T1 fluid attenuated inversion recovery (FLAIR), T2 FLAIR, susceptibility weighted imaging, constructive interference in steady state, diffusion weighted imaging, and T1 weighted contrast sequences were performed. The imaging characteristics of the cysts at various stages were analyzed.

RESULTS

This study presents previously undocumented imaging findings of NCC, establishing absolute, major, and minor criteria for its diagnosis based on magnetic resonance imaging features.

CONCLUSIONS

Utilizing imaging criteria for diagnosing NCC, as per the study's sequences, can effectively narrow down differential diagnoses and lead to accurate identification.

摘要

目的

研究实质性神经囊尾蚴病(NCC)的独特影像学特征,以助于将其与其他疾病区分开来。

材料与方法

基于头节的识别选择了250例NCC患者。进行了T2加权、T1液体衰减反转恢复(FLAIR)、T2 FLAIR、磁敏感加权成像、稳态构成性干扰、扩散加权成像和T1加权对比序列检查。分析了囊肿在各个阶段的影像学特征。

结果

本研究呈现了NCC此前未记录的影像学表现,基于磁共振成像特征建立了其诊断的绝对、主要和次要标准。

结论

根据本研究的序列,利用影像学标准诊断NCC可有效缩小鉴别诊断范围并实现准确识别。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43ed/11705042/65ee4865b9d9/PJR-89-288904-g001.jpg

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引用本文的文献

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Reply to "Neurocysticercosis: unwinding the radiological conundrum" by Goddu Govindappa SK .
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